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Inspection Detail

Inspection: 316422757 - Metro-West Ambulance Service Inc

Inspection Information - Office: Or Safety 2-Portland

Nr: 316422757Report ID: 1054112Open Date: 04/09/2012

Metro-West Ambulance Service Inc
5475 Ne Dawson Creek Dr
Hillsboro, OR 97124
Union Status: NonUnion
SIC: 4119/Local Passenger Transportation, Not Elsewhere Classified
NAICS: 621910/Ambulance Services

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Safety/Health:Safety Close Conference:10/01/2012
Planning Guide: Safety-Manufacturing Close Case:10/15/2013

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 2 3 5
Current Violations 2 3 5
Initial Penalty $6,250 $0 $0 $0 $0 $6,250
Current Penalty $6,250 $0 $0 $0 $0 $6,250
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Serious 6540010 10/03/2012 11/30/2012 $5,000 $5,000 $0 P - Petition to Mod Abatement
  2. 01002 Serious 702013408 A 10/03/2012 11/30/2012 $1,250 $1,250 $0 P - Petition to Mod Abatement
  3. 02003 Other 701076504 10/03/2012 11/03/2012 $0 $0 $0 -
  4. 02004 Other 701076506 10/03/2012 10/08/2012 $0 $0 $0 -
  5. 02005 Other 702037804 A 10/03/2012 11/03/2012 $0 $0 $0 -

Accident Investigation Summary
Summary Nr: 202614335Event: 04/08/2012Employee Is Injured In An Explosion
On April 8, 2012, Employee #1, a vehicle service technician, was filling an oxygen compressed gas cylinder. The oxygen was injected into the cylinder through a manifold and booster pump system. As the cylinder was being filled, an explosion occurred in the fill line. Employee #1 sustained second-degree burns to his face and head along with a pulmonary contusion. He received onsite care and the employer transported him to a medical center. At the hospital, he was listed in critical condition for his severe injuries. Employee #1 underwent treatment and was then hospitalized.
Keywords: burn, oxygen, head, lung, cylinder, compressed gas, explosion, face, contusion
Inspection Degree Nature Occupation
1 316422757 Hospitalized injury Other Occupation not reported

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